Body Contouring

After bariatric or gastric bypass surgery, substantial weight loss can result in large amounts of stretched and inelastic skin that hangs loosely over the slimmer body. Post-bariatric plastic surgery can remove the excess skin and thus lift, tighten and contour sagging areas for a more attractive appearance. The patient may choose to treat the abdomen (abdominoplasty, panniculectomy, circumferential body lift), breasts (mastopexy, augmentation/mastopexy), arms (brachioplasty), thighs (medial and lateral thigh lifts), buttocks (buttock lift) or other areas.

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Body Lift

A body lift, or belt lipectomy utilizes a continuous incision around the entire beltline. Through this incision, a tummy tuck is done as well as removal of excess skin and fat around the entire lower waistline including the lower back/buttock area. Abdomen, thighs, and buttocks are recontoured together. This extensive procedure requires an inpatient hospital stay.

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Brachioplasty

After substantial weight loss or gain or merely as a result of skin elasticity loss, the skin in the upper arms may become loose and flabby. This loose skin, along with any underlying fat, may be removed with an upper arm lift. Sometimes liposuction is added to the arm lift in order to achieve the best possible results.

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Liposuction

Now among the most popular cosmetic surgery procedures, liposuction (also known as "lipoplasty" or "suction lipectomy") sculpts the body by removing undesirable fat from areas around the thighs, knees, buttocks, waist, hips, abdomen, chin, cheeks, neck and upper arms. Ultrasound-assisted liposuction (UAL), tumescent technique and the super-wet technique are among the various techniques used to provide precise results.

Liposuction is not a substitute for a healthy diet and exercise, but the procedure can eliminate areas of fat that are unresponsive to typical weight-loss methods. For additional information on liposuction visit: www.plasticsurgery.org/surgery/lipo.htm

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Thighplasty

Thigh lift is done through an incision concealed in the groin area. Excess skin and fat is removed from the inner thighs and then the skin is pulled up to tighten the area. In some cases liposuction is included to obtain optimal contour.

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Tummy Tuck/ Abdominoplasty

Abdominoplasty helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles. The best candidates have pockets of fat or loose skin that haven't responded well to diet and exercise. The procedure can also be useful for women with stretched skin and muscles from pregnancy.

The procedure takes approximately two to five hours and can be performed with general anesthesia or local anesthesia with a sedative. Recovery time ranges from two weeks to a few months. With a balanced diet and regular exercise, results are long-lasting. Abdominoplasty will likely leave a permanent scar stretching between the hips, although it should be low enough for even a bikini to conceal it.

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